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08 IUGR2 - DR Jusuf
08 IUGR2 - DR Jusuf
08 IUGR2 - DR Jusuf
Hypertension
Chromosome abnormalities
preeclampsia, etc
inherited syndromes,
fetal infection, etc
0 20 28 40 weeks
Birth Weight
Various Equations / variables :
BPD
HC
AC
FL
Combination
FUNCTIONAL EVALUATION
1. Hard Sign :
Amniotic Fluid Volume (AFV)
Fetal well being
Doppler velocimetry
Intrafetal proportions
2. Soft Sign :
Placentalgrade
Subcutaneous fat
Fat and muscle mass
Biometrical parameter principles
Discrimination considers
Appropriate curves used for population
Gestational age precisely determined
US examination for Fetal Biometry
Gestational age
False in measurement
Multiple variable
Serial measurement
Fetal weight estimation
BPD & AC
HC & AC
AC, HC & FL
Serial fetal biometry assessment
Biometry parameters
90%, 50%, 10%
-2 SD + 2SD
HC / AC ratio
Crown Rump - length
Weeks of gestation
Weeks of gestation
Length of femur
Affected in cases of asymmetrical IUGR
(type II)
Length of femur (mm)
Weeks of gestation
Predictive value
Sensitivity Specificity (+) (-)
HC / AC ratio
asymmetrical
Symmetrical
Evaluation of fetal function
Cord compression
Fetal deformation
Hydramnios
Multiple pregnancy
Anencephalus
Gastrointestinal tract disorder
(High obstruction)
Fetal hydrops
Biophysical Profile
S/D ratio
Loss of end diastolic waveform/reversed
Absent diastolic flow dan
Reversed diastolic flow
Fetal compromized
Umbilical
artery
Thump
Filter Umbilical
vein
Umbilical artery
A/B ratio = A/B
Resistance index (RI) = A – B
A
Pulsatility index (PI) = A – B
Mean